Membership Application Form AFFTA MEMBERSHIP APPLICATION/RENEWAL FORM Before you begin your application or renewal please feel free to review AFFTA's Membership Policy & Guides, which can be found here (opens in new browser window).Application Type*New MemberRenewalEnter a usernameThe username you enter will be used to gain access to members-only portions of the AFFTA website. Usernames of 20 characters or less are best, as is use of upper and lowercase letters, and numbers. A password will be sent to you via email after you have completed your application. If you have paid for membership in a previous year and already created a username, please do not attempt to enter one again. Simply choose "Renewal" from the options above and proceed.Contact InformationName:* First Last Contact Email:* Contact Phone:*Contact Title:Company Name:Address:* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Fax:Website Company Type NOTE: Please make one selection from the following four groups - pick carefully as you will not have the option to change your selection. If you are an individual guide, choose that; affiliate individual membership is only for those not directly related to the fly fishing industry.GeneralManufacturer/DistributorRetailerTravel AgencyOutfitter/LodgeAssociateMediaTrade OrganizationNon-profitIndividualGuideShop StaffSales Rep.Affiliates*IndividualBusiness* Those not directly involved in fly fishing industry. This isn't for guides. Guide category is under "Individual" above. Membership Dues: Membership dues are based on annual revenue; please verify your revenue and your corresponding association membership dues. All sales information will be kept strictly confidential. Association Membership dues are not deductible as a charitable donation for federal tax purposes but may be deducted as a business expense. In accordance with IRC Sec. 6033, a portion of dues and assessments, however, is not deductible as a business expense to the extent that AFFTA engages in lobbying. Please consult with your tax advisor for additional information. American Fly Fishing Trade Association operates under 82-0499014.Annual Sales (Please factor your most recent annual revenue): $Please select your company type above before continuingPlease Check Your Membership Level:General MembershipLess than $250K - $100.00$250K-$500K - $125.00$500K-$750K - $250.00$750K-$1M - $375.00$1M-$2M - $500.00For businesses with revenue over $2M, download our application form here.Retailer MembershipLess than 10 doors - $250More than 10 doors - $500Associate MembershipMedia - $200.00Non-profit - $200.00Trade Organization - $500.00individual MembershipGuide - $35.00Shop Staff - $35.00Sales Representative - $35.00Affiliate MembershipIndividual - $100.00Business - $250.00Fisheries Fund Contribution* After entering an amount, please hit your tab key to update your total.*Donated funds will be used for AFFTA Fisheries Fund conservation and education effortsYour Total $0.00 AFFTA Commercial Liability Insurance AFFTA members may be eligible for commercial liability insurance. Please check here if you are an outfitter or guide and would like to receive information on this one-of-a-kind program. Note: We will email you insurance information within the next 24 - 48 hours.